The patient is 76 years old. Suffering from chronic obstructive pulmonary disease (COPD), bronchial asthma. Due to severe exacerbation of bronchial asthma, bronchostatus, he was in the intensive care unit for 10 days. During this time, a bedsore of the sacrococcygeal area was formed. At the previous stage of treatment, the bedsore was almost completely cleansed; at the time of admission, small areas of necrotic ligaments of the sacrum and coccyx remained. Surgical wound treatment was performed. Yesterday, the final stage of surgical treatment was performed on a plastic ulcer of the buttock skin and fascial flap.
Source: https://www.instagram.com/p/BpXPTWAAdcs/?utm_source=ig_share_sheet&igshid=1fqon7ty7ly8fI'm curious. Exactly what level of neglect & maltreatment does it take for a bedsore of this magnitude to afflict those poor patients? Just another indictment of for-profit "care".
Would the patient's, poor level of blood circulation; make bedsores worse ? More frequent ? Etc...
You would be surprised how quickly these type of bedsores can happen without neglect or mistreatment. This can happen in the home with caregivers who do everything right. I have pts who refuse to be turned and positioned to prevent this, who are very resistant to basic pero care. I have many who are diabetic or has some other underlying Dx that makes them more susceptible to skin breakdown. We have healed worse wounds than this.
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